Senior members of an inadequate clinical commissioning group have said directors’ ability to carry out their jobs is hampered because of extra work related to their sustainability and transformation partnership.

A charity has warned a dangerous precedent may be set if a clinical commissioning group enforces its decision to stop funding non-emergency patient transport to people who rely on “life sustaining” treatment.

England’s smallest acute trust has moved a step closer to downgrading its emergency services, with the publication of proposals for “a new community focused role… at the heart of the new model of care”.